Elite Chiropractic Antigo SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4160-012 Issued in WI

Legal business name

ELITE CHIROPRACTIC ANTIGO SC

Practice address

239 Superior St
Antigo, WI 54409-1860

Phone

(715) 623-4800

Fax

(715) 623-6466

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Paul Veselak, D.C.

Title

Associate Doctor

Phone

(715) 623-4800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912061987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 SUPERIOR ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091860",
            "telephone_number": "715-623-4800",
            "fax_number": "715-623-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 SUPERIOR ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091860",
            "telephone_number": "715-623-4800",
            "fax_number": "715-623-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC ANTIGO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VESELAK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ASSOCIATE DOCTOR",
        "authorized_official_telephone_number": "715-623-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4160-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Antigo, WI
• Providers in Antigo, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.